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Individual

CAROLYN KENNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
741 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2643
(573) 317-9100
Mailing address
741 N BUSINESS ROUTE 5, CAMDENTON, MO 65020-2643
(573) 317-9100

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139529
MO

Other

Enumeration date
02/26/2014
Last updated
02/26/2014
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